Organization Active NPI

Crooks Physical Therapy and Sports PC

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1295381671
Registry record updated Sep 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CROOKS PHYSICAL THERAPY AND SPORTS PC
Practice address
10390 Santa Monica Blvd Ste 220
Los Angeles, CA 90025-6960
Phone
(310) 659-9911
Fax
(323) 852-7105
NPI assigned
Aug 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nick Crooks, DPTNPI 1588134233
Title
Owner
Phone
(310) 953-6003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

10390 Santa Monica Blvd Ste 220
Los Angeles, CA 90025-6960

Mailing address

10390 Santa Monica Blvd Ste 220
Los Angeles, CA 90025-6960
Phone (310) 659-9911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220105001621 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4587055355 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

10390 Santa Monica Blvd
Ste 220
Los Angeles, CA 90025
Phone (310) 659-9911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630886400000",
    "number": "1295381671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10390 SANTA MONICA BLVD STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256960",
            "telephone_number": "310-659-9911",
            "fax_number": "323-852-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10390 SANTA MONICA BLVD STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256960",
            "telephone_number": "310-659-9911",
            "fax_number": "323-852-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROOKS PHYSICAL THERAPY AND SPORTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A",
        "authorized_official_last_name": "CROOKS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-953-6003",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.